Individual
DR. CLIFTON PAYNE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
9220 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4239
(239) 280-7708
(239) 596-4475
Mailing address
9220 BONITA BEACH RD SE, BONITA SPRINGS, FL 34135-4239
(239) 280-7708
(239) 596-4475
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS964
FL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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